筛前神经综合征26例临床分析

Clinical Analysis of 26 Cases of Anterior Ethmoidal Nerve Syndrome

目的探讨筛前神经综合征的临床特征，以提高该病的诊治水平。方法对26例患者应用鼻内镜和螺旋CT检查，找出病因，根据不同的病因在鼻内镜下行鼻中隔偏曲矫正和中鼻甲成形术。结果手术后随访6个月～2年，显效22例（84．6％），有效4例（15．4％）。结论应用鼻内镜和螺旋CT检查可提高筛前神经综合征的诊断水平；手术方式因不同的病因而实施。

Objective To investigate clinical features of anterior ethrnoidal nerve syndmme（AENS） and the effective therapies for this syndrome. Methods 26 cases with AENS received rhinoscope and CT examining to confirm the etiology of diseases. The orthopaedy for dedviation of nasal septurn and plastic operation for middle nasal concha were taken according to the etiology of diseases. Results The follow- up was 6 to 24 months. Twenty two cases （ 84.6 % ） were with significant effective and 4 cases （ 15.4 % ） were with effective. Conclusions The examining by rhinoscope and CT scanning can significantly improve the diagnostic efficacy. The surgical intervention for AENS should be selected according to the etiology of diseases.